Cite this post as:
Scott Weingart, MD FCCM. EMCrit Wee – Alternatives to Vent Splitting and the Safest Vent Splitting Methods in COVID19. EMCrit Blog. Published on March 28, 2020. Accessed on October 1st 2022. Available at [https://emcrit.org/emcrit/alternatives-to-vent-splitting-and-the-safest-vent-splitting-methods-in-covid19/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: March 28, 2020
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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Superb talk with Marco. I´m from Brazil , and the covid 19 cases are beginning to increase in south america..
Its not the first time that i listen how well these ,patients can go on Non invasive ventilation, Unfortunately, here ,because of a lack of resources , especialy EPI, NIV is almost banned.
And we are going to face a huge problem due to limited number of vents, besides icu beds and staff.
Cheers from Brasil Scott,
I feel if I was in a situation with limited ventilators that an easier Solution would be to connect a combination of oxygen source, peep valve, virus filter To the bag and use an oxygen blender and pulse ox to adjust oxygen delivery. You could easily train lower level medical or even laypeople to bag indefinitely. . This could even be done outside the ICU but if in the ICU you could use waveform capnography to adjust the ventilation rate. A Phone metronome could be set to prompt the person bagging At the the appropriate rate. I don’t think we… Read more »
I am an ED/critical care physician in Michigan’s UP. We are pretty alone if the surge hits here however we have had time plan. I met with our RT’s last week and have come up with a way to use our V60 NIVV as PC ventilators with a filter on the exhalation port. In addition we talked about the splitting and came to the same conclusion that VC ventilation has a lot of risk associated with it and we should use CPAPor very low Pressure support, but I thought that APRV or bivent might be an option, any thoughts on… Read more »